Dealer's Name ________________________________________________
NIA#____________
Address
__________________________________________________________________________
City _____________________________________ State____________
Zip____________________
Phone# ________________ Fax# _________________
E-mail:______________________________
Helper’s Name, City & State: ________________________________________
NIA#____________
Family Member(s) and their NIA#’s(must list if helping with table):
_________________________________________________________________________________
Name Badges
Required______________________________________________________________
_________________________________________________________________________________
Enclosed is $__________to reserve ______ tables total as follows:
_____ 6’ x 30” Sales Tables at $45 ea., _____ Select Corner Tables at $35
ea. when reserved with $45 table
*My preferred table location(s) are (please refer to table layout
diagram)
First choice(s)______________________________________________________________________
Second, Third choice(s)_______________________________________________________________
*indicate either by table number and/or general description, such as
“near or next to...” a certain dealer, “near entry”, “need AC power
outlet nearby”, etc. Show Hosts may need to revise table layout to
accommodate more tables or dealers - and while we will try to fill all
specific requests, exact table locations cannot be guaranteed. All tables
and table locations are available on a first-come-first serve basis.
Items for
sale:______________________________________________________________________
Special requests or
comments:_________________________________________________________
__________________________________________________________________________________
_______I would like electricity available near my sales table
I, and my representatives (participating family members, helpers
other dealers, etc.), agree to abide by NIA General Show Floor Rules, Code of
Ethics, and any special rules as specified in the information included in this
show packet. I understand that neither the National Insulator Association, the
Show Hosts, the Quality Inn & Suites Richfield, or the Western Reserve
Insulator Club, will be responsible for theft, loss, or damage to person of
property, from any cause whatsoever during my participation in this event.
I understand that I am responsible for collecting and paying any applicable
taxes.
I hereby agree to indemnify and hold harmless the Quality Inn & Suites
Richfield, the National Insulator Association, its Directors, Chairpersons,
agents and members, and the Show Hosts, from any liability resulting from my
activities at the National Insulator Association's 2008 Central Regional Show,
including, but not limited to, liability resulting from the display,
offer for sale, or the actual sale of any item(s) by myself or by any of my
representatives (i.e. participating family members, helpers, other dealers,
etc.)
I also understand that failure to comply with the terms of this Agreement may
result in my expulsion from the show premises, and/or limitations placed on my
future participation in NIA sanctioned shows and activities.
Dealer Signature____________________________________________ Date _________________
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